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Urinary bladder of an individual has 2 important functions:o Storage of urineo Periodic elimination.

A child goes through series of maturational phases till he/she remains “dry by day” by the age of 3 to 3 1/2 yrs and dry by night by 7 yrs. Eneuresis inadvertent passage of urine, which is commonly seen in children only at night. This is called Nocturnal Enuresis. If the child has enuresis also in the day it is called as Diurnal Enuresis or INCONTINENCE. The latter can be caused by birth defects of structural or functional nature. Some of these are treatable surgically.

A team of doctors, with special interest and understanding of this problem can work together to diagnose the underlying cause, assess the state of the kidneys and bladder, and take steps to change the lives of these children, whereby they remain DRY and can mingle with fellow children, attend normal school & activities without having to worry about leaking urine. Such a team comprises of :

o A pediatric urologist/surgeon who can rectify anatomical defects surgically
o A pediatric nephrologist to keep a check on the kidney function, urinary infections and therapy,
o A pediatric neurologist to deal with neural causes
o A developmental pediatrician to accurately assess the need for intervention.

The team, along with a trained pediatric nurse can bring about a difference in the lives of these miserable children, making their lives worth living, and with them, bringing about relief to the anxious parents.

URINARY INCONTINENCE IN CHILDREN, wet underwear, no control over urination, dribbling of urine.

During my career as Senior Pediatric surgeon, have handled many complicated Pediatric Surgical Problems. I am at present service head of Pediatric surgery, Bai Jerbai Wadia Hospital of children. It is a teaching hospital for Pediatric surgery where I am attached at Honarary Ped surgeon.

I am also into minimally invasive surgery in children. I also quite a few laparascopic & thoracoscopic work. I have performed a number of Genitourinary reconstruction which requires higly expertize surgery with very good results.